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Home My WebLink AboutP2021-0133 - PermitsCity of Newport Beach - Building Division *P2021-0133* (9), 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 , Job Address: 1915 WINDWARD LN Bldg: 1 Floor: Suite: Description of Work: PLUM *CHANGE OF CONSTRACTOR* GAS TO BBQ/FIREPIT/FIREPLACE Inspector Area: 3 Code Edit 2019 Legal Description: N TR 4463 LOT 3 Owner: BURNS BRYAN & NANCY Contractor: ORION CONSTRUCTION Address: 1915 WINDWARD LN Address: 28201 VIA DEL MAR NEWPORT BEACH, CA 92660 SAN JUAN CAP CA 92675 Phone: Phone: 949-489-9463 Con State Lic:903655 Issued Dat 712021 Lic Expire: 09/30/2021 Bus Lic: BT01092801 Process d By: Lic Exp Date: 08/31/2021 FEES PLUMBING Permit: P2021-01 Project No : 0063-2021 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: NO EMPLOYEES Policy No: Expire : Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other 11 ' Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain: 0 $0.00 $0.00, Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $00. Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 0 $0.00 Grease Interceptor:0 $0.00 Bath Tub: 0 $0.00 Vegetable Sink: 0 $0.00 Gas up to 4 outlets: 0 $0.00 P-Trap: 0 $0.00 Record Mgmt Fee: $U.00j Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: $0.00, Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 Backflow up to 2": 0 $0.00 Sewer: 0 $0.00 Plan Check: $0.100 Hydro -Mass Tub:0 $0.00 Lndry/Trap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $V.0, Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: 0 $0.00 Supplemental Fee: $U.00 Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 $0.00 Additional Fee : $0.00 TOTAL: $37.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $37.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. ME OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from Iicensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall} sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo,ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commerN with Section 7000) of Division 3 of the usiness and Professions Code, and my license is in full force and effect. F License Class License NoC" '�� Contract Si ature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm. under penalty of perjury one of the following declarations: DOLLARS ($100,000), IN ADDITION TO THE have and %AJ maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ,rmance of thn work for which this permit is issued. Policy No. have and wid maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa mice carrier and policy number are: Policy Number Expiration Date Agent 'Rify that., ir fhe performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and if I should become sect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseDrrovii(Ons. . > 3 i,l, mture of Ape i Da�k^�i ECL,^,RATI G RD G CON RU I N LENDING AGENCY hereby affirm liri er en of p ury t t re is a construction lending agency for the performance of t�Wrk�th,,mit is issued (Section 3097 ender s Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or countyVent bove-identifed _property for inspection purposes. r->- v-7/vl Civil Code). ACT70N IATE Y DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NORFCARON IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATFOF SIGNATURE: OCCUPA,NCYISSUED